| Kae Hwa Jo | 11 Articles |
PURPOSE
This study was conducted to examine the effects of a group reminiscence program on self-forgiveness, life satisfaction, and death anxiety among Korean older adults in nursing homes. METHODS This study was undertaken in two nursing homes in Korea using a nonequivalent control group with a pretest-posttest design. The subjects were 47 older adults aged 69 to 91 years. The experimental group underwent the group reminiscence program for eight weeks. All participants' self-forgiveness, life satisfaction, and death anxiety levels were measured using the State Self-Forgiveness Scale-Korea (SSFS-K), the Satisfaction with Life Scale (SWLS), and the Death Anxiety Scale (DAS), respectively, before and after the eight-week intervention. RESULTS After the group reminiscence program, life satisfaction (t=3.23, p=.003) and death anxiety (t=2.49, p=.018) levels of the experimental group improved significantly compared to those of the control group. There was no statistically significant difference in self-forgiveness between the experimental and control groups. CONCLUSION The results of this study suggest that use of the group reminiscence program can be considered an effective intervention, with a positive impact on life satisfaction and death anxiety of Korean older adults in nursing homes. Citations Citations to this article as recorded by
PURPOSE
This study was conducted to compare and identify the mediating effect of family communication in the impact of death anxiety and personal meanings of death on the attitude of dignified death near the end-of-life among Korean mid-life and old people. METHODS A cross-sectional study was conducted with 287 mid-life and old people in Seoul, Busan, and Daegu City. Data were collected through self-report questionnaires which were standardized instruments from November 2010 to March 2011. Data were analyzed by using SPSS/WIN 14. RESULTS The results of the study indicated that there were statistically significant differences in level of death anxiety, personal meaning of death, and the dignified death between mid-age and old-age people. In addition, family communication had full mediating effects among the mid-age, while it had partial mediating effects among the old-age in the relationships between death anxiety, personal meaning of death, and the attitude of dignified death. CONCLUSION Based on the findings of the study, implications for the intervention of the dignified death and preferences for care near the end-of-life among mid-life and old people and recommendations of further study were provided.
PURPOSE
The purpose of this study was to explore and understand the suicide ideation and survival experience of Korean elders in America. METHODS A phenomenological research method guided data collection and analysis. A total of five elders reported having had suicide ideation participated. Data were collected through individual in-depth interviews. All interviews were audio taped and transcribed verbatim. Coding was used to establish different concepts and categories. RESULTS The following three constituents have been identified: retrospective focus based on the suicide ideation through the immigrant life, facing reality through comparison between the life in America and in Korea, survival skills and constructing view of life. CONCLUSION The result of this study may contribute for health professionals working at various crisis settings to understand Korean immigrant elders with suicide ideation.
PURPOSE
The purpose of this study was to explore clinical nurse's reported conflict experience toward end-of-life medical decision making. METHODS Data were collected by in-depth interviews with eight nurses from three different wards of university hospital in D city of Korea. Conventional qualitative analysis was used to analyze the data. RESULTS Results were three major themes and twelve categories from the analysis. The three major themes were prioritization of treatment, non-disclosure of diagnosis, and hierarchical and power relations. CONCLUSION The results of this study suggest that shared decision making in end of life among patient, family members, physician, and nurse may contribute to improve end-of-life care performance as well as dignified dying of patient in end of life.
PURPOSE
The purpose of this study was to understand the meaning of death experienced by medical and nursing students through end-of-life care practice. METHODS Data were collected by in-depth interviews with twelve (six nursing and six medical) students. Conventional qualitative content analysis was used to analyze the data. RESULTS This findings were analyzed in three areas: 'feeling from the word of death', 'color association of death', and 'relation between life and death'. Results were three major themes and sixteen categories from the analysis. Three major themes include 'reality of uncertain death', 'have to leave, and 'new perception about death'. Sixteen categories include 'being well', 'fear', 'unknown', 'boundless', 'being with', 'out of sight', 'new start', 'go back to', 'place going by itself', 'place to meet with', 'being transformed', 'a sense of futility', 'the same point', 'a different point', 'continuous line', and 'a crossroad'. CONCLUSION The findings suggest a number of themes that nursing and medical students reported about the end of life experiences that could be explored as a way of improving end of life care.
PURPOSE
The purpose of this study was to analyze attitude toward dignified dying of Korean students majoring in human service area. METHODS The Q-methodology which provides a method of analyzing the subjectivity of each item was used. The 34 selected Q-statements from each of 38 subjects were classified into a shape of normal distribution using a 9 point scale. The collected data was analyzed using a QUANL PC program. RESULTS Four types of attitude toward dignified dying from the subjects were identified. Type I is an expression type for happy emotion, Type II is a dislike type for life prolongation, Type III is a pursuit type for relationship improvement, and Type IV is a perception type for family presence. CONCLUSION The results of the study indicate that integrating multi-disciplinary curriculum development related to dignified dying and death education for students majoring in human service area are needed.
PURPOSE
The purpose of this study was to examine the subjective opinions of first-generation Korean-Americans about survival. METHODS The Q-methodology which provides a method of analyzing the subjectivity of each item was used. The 34 selected Q-statements from each of 38 subjects were classified into a shape of normal distribution using a 9 point scale. The collected data was analyzed using a QUANL/WIN program. RESULTS Four types of survival attitudes from 38 first-generation Korean-Americans were identified. Type I was a satisfaction type based on belief, Type II was an effort type based on purpose, Type III was an isolation type based on ethnicity, and Type IV was a compromise type based on adaptation. Results of this study indicate that approaches to a minority's survival strategies need to be differentiated taking this typology and various subject characteristics into account. CONCLUSION This information may provide a basic understanding for healthcare providers who work with first-generation Korean-Americans.
PURPOSE
To understand the meaning of death seen by nursing students through collage art works. METHOD: The qualitative research method and the content analysis were used. The text were collage and related essays written by 42 senior nursing students about the impressions on death through collage art works. RESULT: Statements were classified into three categories and seventeen themes. The three categories include 'efinitions of death', 'feelings about the death', and 'attitudes about the death and the dying patients'. CONCLUSION: It is shown that participants recognize their position as nursing student, although they may not escape the fear of death, will learn to deal with death, and the dying in a suitably professional manner. In this respect, the study is considered to be helpful for the students in learning the knowledge and information which are needed for hospice nursing care more effectively.
PURPOSE
To understand the meaning of death seen by nursing students through art works. METHOD: The qualitative research method and the content analysis were used. The text were essays written by 42 senior nursing students about their impressions on death through art works. RESULT: Statements were classified into six categories and twenty six themes. The six categories include definitions of death, feelings about the death of a main character, responses to the death of the main character, feelings of significant others about the death of the main character, feelings of participants in this study, and oaths of the participants in this study. CONCLUSION: It is shown that participants recognize their position as nursing students, although they may not escape the fear of death, will learn to cope with death, and the dying in a suitably professional manner. In this respect, the study is considered to be helpful for the students in learning the knowledge and information which are needed for hospice nursing care more effectively.
PURPOSE
The study was undertaken to examine the degree of nurse's suffering experience and to identify the influencing factors on nurses' suffering experience in Korea. METHOD: Data were collected using a questionnaire for 271 nurses working at 5 general hospitals in Daegu and Kyung-book province from Sep. 1, to Sep. 30, 2003. The questionnaire consists of 54 items, general characteristics(10) and nurse's suffering experience(44). All surveys were sorted and studied by frequency analysis, mean score, standard deviation, range, independent t-test, one way ANOVA, Pearson's correlation coefficient and Multiple regression. RESULT: The findings of this survey indicate 1) The degree of suffering experienced by nurses caring for terminal cancer patients was 2.96; 2) Demographic variables affecting the degree of nurses' suffering experience were age(F=5.62, p=.000), marital status(F=20.53, p=.000), religion(F=5.44, p=.020), career of clinical experience(F=6.96, p=.000), and feelings of end-life care(F=3.11, p=.016); 3) There were slight correlation between the subitem of nurse's suffering experience and general characteristics of subjects. For 'expanding self consciousness', age, career duration, and position; for 'forming empathy with family', age and career duration ; for 'spiritual sublimation', age, and career duration were affected variables. 4) As a result of the multiple regression analysis for predictable variables affecting nurses' suffering, it was found that 'career of clinical experience' was most significant(F=23.100, p=.000). The explanatory power of this regression formula was 17.6%. CONCLUSION: This study can provide the basic data useful towards improvement of nursing services for terminal cancer patients and the health of the nurse.
The purpose of this study is to present an actual example for procedures for developing a PBL package based on philosophical backgrounds derived from Problem-based learning. To perform a systemic study on the operations of an intergrated curricula under multi-disciplines, a research team made up of several professors with different academic backgrounds was formed. Among the four situations for the patients with perception-adjustment disorder, especially a procedure for the development of PBL package which can be used in the emergency room situation has been proposed. The little(2000)'s PBL package model has been applied for this study. Tha package includes course objectives, learning objectives, concept map, situation scenario, tutor guide, and evaluation method. It is believed that learning objectives achievement procedures designed as a part of a problem-based learning package development procedures for the nursing of patients with perception-adjustment can be achieved at the same level as the learning objectives for the science of nursing founded by the Korean Nurses Association.
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